| NPI | 1437350493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01070686A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 41192) |
| 208M00000X Hospitalist (Licence: KY 41192) | |
| 208M00000X Hospitalist (Licence: IN 01070686A) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2021-03-05 |